Vacation Bible School Registration
June 6th-10th, 6pm-8pm | Join us for Vacation Bible School!
Dinner will be served each night.
To register you child/children, please fill out this form and click submit.
Parent/Guardian Information
Parent's/Guardian's Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
We plan to use pictures of our VBS on our social media. Can we send you a media release form?
*
Please select one option.
Yes, I would be happy to give permission to use pictures of my child. Send me a form.
No, I would prefer you do not use pictures of my child. I will not need a form.
Child's/Children's Information
Child 1 Name
*
Child 1 Age & School Grade
*
Child 1 T-shirt Size
*
Please select all that apply.
Youth Small
Youth Medium
Youth Large
Adult Small
Child 2 - Name
Child 2 - Age & School Grade
Child 2 - T-shirt Size
Please select all that apply.
Youth Small
Youth Medium
Youth Large
Adult Small
Child 3 - Name
Child 3 - Age & School Grade
Child 3 - T-Shirt Size
Please select all that apply.
Youth Small
Youth Medium
Youth Large
Adult Small
Child 4 - Name
Child 4 - Age & School Grade
Child 4 - T-shirt Size
Please select all that apply.
Youth Small
Youth Medium
Youth Large
Adult Small
Child 5 - Name
Child 5 - Age & School Grade
Child 5 - T-shirt Size
Please select all that apply.
Youth Small
Youth Medium
Youth Large
Adult Small
Please list any allergies, medical conditions, or special needs we should be aware of below.
If you have any questions, contact Pastor Jeannie at 423-479-3381 or jeannie@mtolivecog.org.
Submit
Description
June 6th-10th, 6pm-8pm
Join us for Vacation Bible School!
Dinner will be served each night.
To register you child/children, please fill out this form and click submit.
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